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Bird's Eye View of Cognitive Health Innovation

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    Notes on slide 1

    KEY IDEA(S) These are the chapters of the SharpBrains Guide for Brain Fitness. The presentation is structured along these chapters.

    KEY IDEA(S) This is a workout circuit seen from above. This is to illustrate the importance of Variety and Challenge. Cognition is made of several cognitive abilities: All need to get stimulated, the same way all muscles groups in the body need to exercise for a good and effective workout. Challenge is required to get enough stimulation (the same as at the gym).

    KEY IDEA(S) This is a workout circuit seen from above. This is to illustrate the importance of Variety and Challenge. Cognition is made of several cognitive abilities: All need to get stimulated, the same way all muscles groups in the body need to exercise for a good and effective workout. Challenge is required to get enough stimulation (the same as at the gym).

    KEY IDEA(S) This is a workout circuit seen from above. This is to illustrate the importance of Variety and Challenge. Cognition is made of several cognitive abilities: All need to get stimulated, the same way all muscles groups in the body need to exercise for a good and effective workout. Challenge is required to get enough stimulation (the same as at the gym).

    KEY IDEA(S) These are the chapters of the SharpBrains Guide for Brain Fitness. The presentation is structured along these chapters.

    KEY IDEA(S) These are the chapters of the SharpBrains Guide for Brain Fitness. The presentation is structured along these chapters.

    KEY IDEA(S) The content of this presentation comes from the SharpBrains Guide to Brain Fitness. The Guide is available on Amazon.com This first guide is the result of over a year of extensive research including interviews with more than a hundred scientists, professionals and consumers. It offer research-based, relevant and up-to-date information and tools.

    KEY IDEA(S) These are the chapters of the SharpBrains Guide for Brain Fitness. The presentation is structured along these chapters.

    KEY IDEA(S) Stress management is part of brain maintenance because there is a strong interaction between cognition and emotion. Stress is bad for the brain: High levels of stress for sustained periods of time can kill neurons, especially in the hippocampus (a structure crucial for memory).

    KEY IDEA(S) Thanks to lifelong neuroplasticity, our lifestyles and actions play a meaningful role in how our brains physically change. There is no general solution to brain maintenance. A multi-pronged approach centered on nutrition, stress management, and both physical and mental exercise is recommended for better brain health.

    KEY IDEA(S) Mental stimulation can improve overall cognitive functioning, thanks to neuroplasticity

    KEY IDEA(S) The hippocampus is a brain structure that deals with memory and with spatial information used to navigate. Based on the idea that repeated stimulation help build brain reserve (more neurons), i f you lived in London, and wanted to grow your hippocampus, which job would you choose? Taxi or bus driver? Answer: Taxi driver Why: Taxi drivers need to find new routes everyday = they EXERCISE their hippocampus everyday. Bus drivers follow set routes. Their hippocampus is active but is not exercised. Bus drivers fall in routines. This illustrate the difference between mental activity and mental exercise.

    KEY IDEA(S) Whether a program “ works ” depends on: What abilities are supposedly trained: What is claimed by the developers of the program? Are there any well conducted studies showing that indeed the program train these abilities? What abilities YOU want to train: If there is not a match between what you need and what the program offers it is likely that the program will not work for you (but it may work for somebody else).

    KEY IDEA(S) This checklist can be used to evaluate any type of Brain Fitness product. Check it out at www.sharpbrains.com for more details

    KEY IDEA(S) There is no easy way to “ rank ” products. SharpBrains Guide to Brain Fitness categorizes brain training software based on their purpose: overall brain maintenance, targeted improvement in one specific cognitive domain, and stress management. Top 8 overall brain maintenance products: The goal of these products is to provide whole brain stimulation. They include a variety of exercises targeting different types of cognitive abilities including memory, attention, language skills, visual skills and reasoning.

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    Bird's Eye View of Cognitive Health Innovation - Presentation Transcript

    1. Bird’s Eye View of Cognitive Health Innovation Alvaro Fernandez Boston, June 11 th , 2009 © SharpBrains
    2. Game I am immersed in…
      • more complex than Civilization
      • more evolved than Spore
      • with all the biometrics you can dream about
      • over 1,000 levels of gameplay
      © SharpBrains
    3. Indeed! © SharpBrains
    4. An introduction to SharpBrains
      • SharpBrains is a Market Research firm. SharpBrains doesn’t develop or offer products (we offer informational products/ services). www.SharpBrains.com
      • Source of standard Industry data and clinical validation analysis for the field, media and other analysts
      • Clients: Kaiser Permanente, Sutter Health, Intel Corporation, Procter & Gamble, Technology Partners, AARP, Club One Fitness, Developers
      • Strong research focus: network of dozens of neuroscientists and psychologists
    5. Our session today
      • Cognitive Health Track, powered by SharpBrains
      • The State of the Market (report)
      • New Consumer’s Guide (book)
      © SharpBrains
    6. The rest of today © SharpBrains 11.10 Allstate-Posit Science: Cognitive Training for Safer Driving 11.50 What Consumers Buy and Why 2.00 The Road Ahead: 5 Challenges And Potential Solutions 3.20 Research and Interventions for ADHD and Schizophrenia 4.30 Cognitive Rehab & Health Professionals 5.20 An Innovative Partnership to Help MS Patients
    7. Tomorrow © SharpBrains 10.20 Neuroplasticity: Implications, Opportunities, and Challenges 11.10 A Venture Capitalist's View of the Healthy Games Opportunity 11.50 Reaching Users with a Multi-Platform Strategy 1.30 An Analysis of Game Design Issues in Brain Games 2.10 Innovative Approaches to Scientific Validation 2.50 Wrapping Up: What We Have Learned, What is Next
    8. The right framework © SharpBrains
    9. Our session today
      • Cognitive Health Track, powered by SharpBrains
      • The State of the Market (report)
      • New Consumer’s Guide (book)
      © SharpBrains
    10. Games I am playing… © SharpBrains
    11. More than may meet the eye
      • US Army: how many have taken computerized cognitive assessment so far?
      • Investment of insurer OptumHealth in cog. assessment for clinical decision-making?
      • Number of Allstate’s policy holders engaged in research project to improve driver safety?
      • Estimated # residential communities?
      • Investment in Centre for Brain Fitness at Baycrest?
      © SharpBrains
    12. 5 Data Points
      • Soldiers
      • OptumH
      • Drivers
      • 700
      • Baycrest
      • Introduce audience?
      © SharpBrains
    13. 5 Data Points © SharpBrains
    14. 5 Data Points © SharpBrains
    15. 5 Data Points © SharpBrains
    16. Top 10 Highlights from report
      • Sustainable Growth – if problems are addressed
      • Increased interest and confusion
      • Growing investment in R&D
      • 700 residential facilities
      • Customer satisfaction
        • “ got real value for $”: Lumosity > Puzzle Books > Posit Science > Nintendo
        • “ seen the results I wanted”: Posit Science > Lumosity > Puzzle Books > Nintendo
      • Growing adoption of assessments
      • Compelling clinical evidence, but “who needs what when” (10 REFs)
      • Distracting controversy, with two misleading extremes
      • Market & Research Momentum: 4 Leaders, 8 High Potentials, 3 Crosswords 2.0, 6 Wait & See
      • Increased differentiation
      © SharpBrains
    17. Who needs what when © SharpBrains
      • Two clinical trials published in late 2008 showed that…
      • It works! (for people in their 60s)
      • It doesn’t work! (for people in their 20s)
    18. Research Executive Briefs © SharpBrains
      • Joshua Steinerman, Einstein-Montefiore
      • Jerri Edwards, USF
      • Susanne Jaeggi & Martin Buschkuehl, Michigan
      • Torkel Klingberg, Karolinska
      • Elizabeth Zelinski, USC
      • David Vance, UAB
      • Daphne Bavelier & Shawn Green, Rochester
      • Arthur Kramer, Illinois
      • Yaakov Stern, Columbia
      • David Rabiner, Duke
    19. 5 Data Points © SharpBrains
    20. 5 Data Points © SharpBrains
    21. Future Directions 2008-2015
      • Brain Fitness goes Mainstream
          • Increasing focus on brain maintenance
          • Better integration of physical and mental exercise
          • Broad government initiatives
      • Leveraging Better Tools
          • Wide use of cognitive assessments as baseline
          • More and refined computer-based programs
          • Low-tech options to play increasing role
      • A Growing Eco-System
          • Need for professional development
          • Insurance companies will introduce incentives
          • Transfer from military research and applications
          • Corporate wellness will add a brain component
      © SharpBrains
    22. Our session today
      • Cognitive Health Track, powered by SharpBrains
      • The State of the Market (report)
      • New Consumer’s Guide (book)
      © SharpBrains
    23. The SharpBrains Guide to Brain Fitness
      • The SharpBrains Guide to Brain Fitness: 18 Interviews with Scientists, Practical Advice, and Products Reviews, to Keep Your Brain Sharp (May 2009, $24.95)
      • - by Alvaro Fernandez and Dr. Elkhonon Goldberg
        • Explains the latest brain research in an accessible way
        • Includes 18 interviews with leading experts
        • Reviews 21 products for cognitive exercise and emotional self-regulation
      • “… we're talking a short, sweet, entertaining read of a complex topic, with timely (written in 1/09) reviews of 21 top technology products, as well as informed and expert predictions of where this burgeoning brain-fitness field is headed. More importantly, after you read it, you'll have a good, detailed sense of where you, personally, can act to improve your own couch-potato brain - and how to keep it fit and flexible your whole life. The SharpBrains Guide reminds us all why books (and not just googling a topic) can be well worth your time and money. Two Stethoscopes Up – check it out.
      • - San Francisco Chronicle online book review by Jan Gurley, Internist Physician and Robert Wood Johnson Foundation Fellow
    24. Chapters
      • The Brain and Brain Fitness 101
      • The 4 Pillars of Brain Maintenance
      • Mental Exercise vs. Mental Activity
      • How to Evaluate and Choose Products
      • Emerging Research and Applications
      • Ready For the Future?
      • Opening the Debate
      • Glossary and References
      © SharpBrains
    25. No silver bullet for a complex system Breathing, movement Goal-oriented behavior, thinking Emotions, memory Source: Rita Carter, Mapping the Mind © SharpBrains
    26. Brain Maintenance
        • Neuroplasticity = The brain lifelong capacity to reorganized itself according to one’s experiences
        • Brain maintenance includes:
            • Balanced Diet
            • Physical Exercise
            • Stress Management
            • Mental Stimulation
      © SharpBrains
    27. Brain Maintenance: Mental Stimulation
        • Mental stimulation is neuroprotective and can improve cognitive functioning
        • The 3 key principles for good mental stimulation are:
              • 1.  Novelty
              • 2.  Variety
              • 3.  Challenge
        • Targeted interventions can have specific brain/ cognitive/ behavioral outcomes
      © SharpBrains
    28. Mental Exercise vs. Mental Activity Source: Maguire, Woollett, & Spiers, 2006 © SharpBrains If you lived in London, and wanted to grow your hippocampus, which job would you choose?
    29. Does Brain Training “Work”?
      • Randomized controlled studies show improvements of targeted functions that last beyond training itself
      • Products have not been on the market long enough to show direct long term effects vs. overall mental stimulation
      • Whether a program “ works ” will depend on:
          • What functions one wants to enhance and why
          • Which program one selects and amount of practice
          • Realistic expectations – there is no silver bullet
      © SharpBrains
    30. Evaluation checklist (www.sharpbrains.com)
      • 1. Are neuropsychologists behind the program?
      • 2. What peer-reviewed research supports it?
      • 3. Is there a solid Scientific Advisory Board?
      • 4. What are the specific benefits claimed?
      • 5. What cognitive function does it train?
      • 6. How many hours/ days per week to use it?
      • 7. Do the exercises teach something new?
      • 8. Always challenging
      • 9. Does the program fit user’s specific goals?
      • 10. No stress
      © SharpBrains
    31. Products reviewed © SharpBrains
      • Overall Maintenance
      • Brain Age
      • BrainWare Safari
      • FitBrains.com
      • Happy-Neuron.com
      • Lumosity.com
      • MindFit
      • (m)Power
      • Targeted Training
      • Brain Fitness Classic
      • CogMed WMT
      • DriveFit
      • Earobics
      • Fast Forword
      • Insight with Cortex
      • Intelligym
      • Vision Restoration Therapy
      • Emotional self-reg
      • emWave PC
      • emWave Handheld
      • Journey Wild Divine
      • RESPeRATE
      • Stress Eraser
    32. Will you join our Twitter book club?
      • Readers, experts, us will tweet about The SharpBrains Guide to Brain Fitness
      • Twitter: AlvaroF, Remember: #G4H09
      • Book available in Amazon.com (Print and Kindle)
      • More information on Book and Report:
      • www.SharpBrains.com
      • Free Monthly eNewsletter
      • Blog: sharpbrains.com/blog/
      • [email_address]

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    Opening Session by Alvaro Fernandez, SharpBrains.
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